Healing Goddesses Workshop with Mira Riddiford

DDI: (09) 213 3246
P: 021 548 781
E: westernmysticism@gmail.com
W: http://westernmysticism.com
In person, online or watch the recording
11 August 2018, 11am in person, Venue: Kingsland, Auckland
(this timing is to work in with Canadian participants who will join in live at the same time at 10 August 2018, 7pm Eastern Daylight Time)
Name *
Your answer
Date of Birth
Your answer
Your answer
Email *
Your answer
Phone *
Your answer
How will you be joining this series? *
Please give us an idea of your meditation experience and whether you have studied Goddess and Gods before? All levels of experience are welcome
Your answer
How did you learn about this workshop?
Your answer
Please list any health conditions you may require assistance with (eg: mental health, physical disabilities) *
Your answer
Payment Guidelines
(a) Please pay the course fee of $30 - $40 to secure your place in the series. Payment can be made by Cash, Internet Banking, Cheque or PayPal.

(b) If paying by internet banking, our account number is: 38-9014-0006375-000 using the reference "HG1 and your name"

(c) If paying by PayPal. The email address for paypal is mindfulnesse@gmail.com.

(d) Please enter your name and the course/retreat name as your payment reference details. Please confirm via email or phone once you have paid your deposit.

Payment Details *
Total Paid ($NZ)
Your answer
Today's Date
Your answer
Would you like us to add you to Mira Riddiford's email list?
Thank you
We look forward to meditating and learning with you.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service